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Organization

COGNITIVE NUTRIENT THERAPY

Active
Parent organization
AHAVA HEALTHCARE, PLLC
Other names
Ahava Healthcare, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AHAVA HEALTHCARE, PLLC
Authorized official
MELANIE MINTZER MD (CEO)
(919) 667-4649
Entity
Organization

Contact information

Practice address
301 ASHVILLE AVENUE, SUITE 111, CARY, NC 27518
(984) 464-0114
(919) 932-0854
Mailing address
301 ASHVILLE AVENUE, SUITE 111, CARY, NC 27518
(984) 464-0114
(919) 932-0854

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/26/2024
Last updated
09/26/2024
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